Urschel Laboratories Inc
2503 Calumet Ave
Valparaiso, IN 46384

Contact Phone Number:   (219) 464-4811
Fax Number:   (219) 462-3879

Credit Application

Returning Customer
If you have started a credit application and saved your data for later, you were emailed an Application ID and asked to save it. To continue with your application, please enter your email address and that Application ID below, and then click Continue Application.

If you prefer to fill out a paper copy of the application, click here to print the application pages. Then fill in the required entries, indicated by * ,and fax the completed pages to (219) 462-3879